NCE Registration Form - Board of Licensed Professional Counselors

Important Information and Registration Form Below• Registrations are first received by our Accounting Department and forwarded to the Assessment Departmentafter your fee has been processed. To confirm when your fee has been processed, please check with yourfinancial institution.• The registration processing time is four weeks from the time your payment is processed. Once registered youwill be notified by email and postcard.• When completing your registration form, please be aware that the name listed on your legal I.D. (driver’slicense/passport) must be the name you register under.• When you register for the first time, you are required to submit an official, sealed (unopened) transcriptshowing conferral of your degree in counseling or a related field. This should be included with your registrationform and fee.• If your transcript is under your maiden name, please include legal documentation of your name change withyour registration form.• If you need to re-register with NBCC, you are not required to send another transcript. If you are unsure, pleasecontact NBCC.• If you would like to check on the status of your registration, email exam@cce-global.org with your state in thesubject line.• Special Accommodations:1. If you have special accommodation requests, you are required to submit supporting documentation from alicensed physician, psychologist or psychiatrist that includes the diagnosis and specific requests.2. The document is required to be on official letterhead that is signed, dated and written within the last fiveyears.3. Along with the documentation, please include a Special Accommodation Request Form found on the lastpage of the candidate handbook.4. If you are requesting extra time or permission to bring a translation dictionary because English is yoursecond language, and you studied in English, please send documentation from your graduate programshowing that you received special accommodations due to ESL while in school.If you studied in another language you will need to submit and international degree equivalency. Seewww.nbcc.org/Student/International.5. Candidates approved for extra time due to ESL must pay an additional fee of $60 to receive thisaccommodation.• A candidate may reschedule an examination appointment at no charge one time by calling AMP at 888-519-9901 at least two to three business days prior to the scheduled testing session. Please note, your rescheduledexam date must fall within your original 6 month eligibility period.• Confirmation of your test date will come from AMP by email. You will not be sent an admission letter fromNBCC. To verify your test date, contact AMP.• Please do not contact AMP to schedule a test date until you have received confirmation from NBCC.• Your scores are automatically sent to your state board approximately four weeks after the last day of thetesting week. Please check with your State Board before requesting score verification.It is the candidate’s responsibility to ensure that all registration materials are received by NBCC.If you are unsure of any piece of the registration process, please email NBCC at exam@cceglobal.orgbefore submitting any registration materials or documentation.

KENTUCKYLICENSURE EXAMINATION REGISTRATIONNational Counselor Examination for Licensure and Certification (NCE®)National Clinical Mental Health Counseling Examination (NCMHCE®)Last name:First name: MI Soc. Sec. #: - -Address:City:StateZip Code: - Date of Birth: / /Home: - - Business: - -EMAIL:Check here if you are requesting special examination accommodationsMale: Female: Other Name:Ethnic Origin:AfricanAmericanNativeAmericanAsianAmericanCheck One: NCE NCMHCECaucasian Hispanic Multi-CulturalOtherABOUT REGISTRATION• The cost to register is $195. This examination fee is nonrefundable/non-transferable.• Registration is required. Please allow 4 weeks processing timefrom the time your fee clears. (To check the status of yourregistration, please send an email to exam@cceglobal.orgwith your state in the subject line as phonecalls delay the processing time.)• You will be notified of the scheduling process by email andpostcard once your examination registration is processed.Candidates must test within 6 months of notification.• Special Accommodation requests need to be sent with yourregistration form to NBCC along with supportingdocumentation from a qualified professional.PLEASE INCLUDE WITH YOUR MATERIALS• Your completed registration form with original ink signature.• Your $195 examination fee (please make check or moneyorder payable to NBCC).• An official, sealed (unopened) academic transcriptidentifying the conferral date of a Master’s degree incounseling or a related field.• ALL OF THE ABOVE MUST BE RECEIVED BEFORE YOUWILL BE ALLOWED TO SCHEDULE AN EXAM DATE.WHERE TO SEND YOUR REGISTRATION MATERIALS:NBCC Assessment Dept.PO Box 7407Greensboro, NC 27417-0407FAXED REGISTRATIONS AND TRANSCRIPTS WILL NOT BEACCEPTED.TESTING QUESTIONS? Tel: 336-482-2856; E-mail: exam@cce-global.org; Web site: www.nbcc.org/directoryStreet Address: NBCC Assessment Dept., 3 Terrace Way, Greensboro, NC 27403Have you previously taken the NCE or NCMHCE? Yes NoIf yes, on which date? / /Month Day YearHighest Degree Granting Institution:I understand and agree to the following: that I am taking the NCE or NCMHCE as part of the Kentucky state licensing requirements; and approval totake the NCE or NCMHCE or the receipt of a passing score does not demonstrate that Kentucky state licensure or NBCC certification requirementshave been satisfied. I authorize NBCC to provide the Kentucky Board of Licensed Professional Counselors with examination results. Use of the NCEor NCMHCE scores for licensure in other states may not occur until licensure is granted in Kentucky. By signing this document, I hereby certify that theinformation and materials provided in this application are true, accurate, and complete to the best of my knowledge and belief. I agree to abide by allNBCC policies, procedures, and agreements concerning the NCE or NCMHCE examination.Signature:Date:CHARGE ORDER FORM - DO NOT DETACHCredit card type: VISA Mastercard American ExpressAccount number: Exp. date: /Name on card: Amt. charged: $Signature:Date:

National Counselor Examination (NCE)National Clinical Mental Health Counseling Examination (NCMHCE)State Specific Insertfor Kentucky Licensure Candidates**This is a supplement to the NCE and NCMHCE CandidateHandbook. You can download the handbook from the NBCCWeb site at www.nbcc.org/directory.**CONTACT INFORMATIONAll questions and requests for information about Kentuckylicensure should be directed to:Kentucky Board of Licensed Professional CounselorsP.O. Box 1360 (regular mail)Frankfort, KY 40602-1360911 Leawood Drive (overnight mail)Frankfort, KY 40601Phone: 502-564-3296 ext. 239Fax: 502-696-5230Web site: http://finance.ky.gov/bpcAll questions and requests for information about theKentucky licensure examination program should bedirected to:NBCC Assessment Dept.3 Terrace Way, Suite DGreensboro, NC 27403Phone: 336-482-2856Web site: www.nbcc.org/directoryELIGIBILITY REQUIREMENTSCandidates should send the Licensure ExaminationRegistration Form with original ink signature,examination fee ($195), and an official, sealed(unopened) academic transcript identifying the conferraldate of a Master’s degree in counseling or a related fieldto NBCC. (Fees are subject to change.)REGISTRATION DEADLINESCandidates will need to allow 4 weeks processing timefrom the time your fee clears. Candidates can submitregistration materials described above at any time but beaware that space is limited. The fees are good for 6months. (To check the status of your registration,please send an email to exam@cce-global.org withyour state in the subject line as phone calls delay theprocessing time.)TESTING SCHEDULETesting is normally the first two full weeks of each month,Monday thru Saturday at 9:00am and 1:30pm, with fourhours allowed for the exam. However, only certain sitesoffer Saturday testing; candidates should contact AMP forparticular locations and dates. Candidates are scheduledon a first-come, first-served basis. There are two testinglocations in Kentucky, however, you are able to test at anyof the over 170 AMP assessment centers across the U.S.The two sites in Kentucky are Lexington and Louisville.Examination schedule for 2012/2013: August ’12 08/06 – 08/18 September ’12 09/04 – 09/15 October ’12 10/01 – 10/13 November ’12 11/05 – 11/17 December ’12 12/05 – 12/15 January ’13 01/07 – 01/19 February ’13 02/04 – 02/16 March ’13 03/04 – 03/16 April ’13 04/01 – 04/08 April ’13 04/16 – 04/20 May ’13 05/06 – 05/18 June ’13 06/03 – 06/15 July ’13 07/08 – 07/20 August ’13 08/05 – 08/17 September ’13 09/09 – 09/21 October ’13 10/07 – 10/19 November ’13 11/04 – 11/16 December ’13 12/02 – 12/14Exam dates should be scheduled by the candidatethrough AMP’s Web site or by calling AMP’s toll-freecustomer service line after receiving confirmation fromNBCC. For specific site information, go to the AMP Website.AMP Phone number: 888-519-9901AMP Web site: www.goAMP.comRE-REGISTRATIONCandidates who fail the exam will have to wait at least 3months from their test date before they can retest. Theactual retest date will depend on the monthly testingschedule and site availability. Candidates will need tosend a new registration form and examination fee ($195).SPECIAL ACCOMMODATIONSCandidates should request special accommodations bycompleting the form in the Candidate Handbook andsubmitting it with their Licensure Examination Registrationform. Supporting documentation from a qualifiedprofessional is also required. Special Accommodationapprovals are good for one year. After one year, candidateswill need to submit a new request. Candidates testing withapproved special accommodations should schedule theirtest via the toll-free number to ensure their accommodationsare confirmed.AFTER PASSING THE EXAMOnce you have successfully passed the NCE orNCMHCE, please contact the Kentucky Board of LicensedProfessional Counselors for further information. If youhave questions about the Kentucky licensure process,please contact the Kentucky Board for information.